Organization
MARINE PARK RADIOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAROLD R TANENBAUM M.D. (MEDICAL DIRECTOR)
(718) 253-6616
Entity
Organization
Contact information
Practice address
2270 KIMBALL STREET, STE 102, BROOKLYN, NY 11234
(718) 253-6616
(718) 253-7059
Mailing address
2270 KIMBALL STREET, STE 102, BROOKLYN, NY 11234
(718) 253-6616
(718) 253-7059
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02358643
—
NY
Enumeration date
05/15/2006
Last updated
11/04/2024
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